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NBME 20 Answers

nbme20/Block 4/Question#11 (33.0 difficulty score)
A 37-year-old man who is HIV positive comes ...
NortriptylineπŸ”,πŸ“Ί
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 +13 
submitted by strugglebus(172),
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M/ooeodddhHneortcayne acn eald to eecyopude-de-nn ovdai in ngol tmer .sue SNIADs oyu also idvoa edu to lpiarat icneefnesstfevi ni orihnatecpu npai sa ellw as lurec skri. sC'AT rea nonkw ot aertt enripacothu pnia vrye ellw (.ei. tds,eabie TRA tperyha)

champagnesupernova3  Drugs for neuropathic pain: TCAs, gabapentin and pregabalin +1  
mangotango  SNRIs +  
mangotango  also SNRIs* +1  
zevvyt  methadone isn't a pain med(even though it's an opiate), it's used for opiate addiction. And hydrocodone is used for "moderate" pain and this person is in "severe" pain. +  
shakakaka  Drugs for neuropathic pain: TCA, SNRI, Anticonvulsant, Opioids, Lidocaine, Capsaicin +